Individual
MRS. JACLYN KRISTEN USELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007034715
MO
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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